Therese L Boggiano, RN - Medicare Nurse Practitioner in Holland, MI

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Therese L Boggiano, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Holland, Michigan. Her current practice location is 12265 James St, Holland, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 494-5698.

Therese L Boggiano is licensed to practice in Michigan (license number 4704278126) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699023259.

Contact Information

Therese L Boggiano, RN
12265 James St,
Holland, MI 49424-8613
(616) 494-5698
Not Available

Map and Direction




Provider's Profile

Full NameTherese L Boggiano
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location12265 James St, Holland, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699023259
  • Provider Enumeration Date: 08/29/2012
  • Last Update Date: 08/03/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0749572907
  • Enrollment ID: I20160707002432

Medical Identifiers

Medical identifiers for Therese L Boggiano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699023259NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0807XRegistered Nurse - Psychiatric/mental Health, Child & Adolescent 4704278126 (Michigan)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704278126 (Michigan)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Therese L Boggiano allows following entities to bill medicare on her behalf.
Entity NamePine Rest Christian Mental Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467463604
PECOS PAC ID: 4981506508
Enrollment ID: O20041103000525
Entity NameBarry County Community Mental Health Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952357410
PECOS PAC ID: 3678599404
Enrollment ID: O20051020000495
Entity NameHarbour Towne Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649647876
PECOS PAC ID: 3577861749
Enrollment ID: O20160421000920

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Therese L Boggiano is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Therese L Boggiano, RN
131 W Seaway Dr, Ste 200,
Norton Shores, MI 49444-3761

Ph: (616) 494-5698		Therese L Boggiano, RN
12265 James St,
Holland, MI 49424-8613

Ph: (616) 494-5698

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.